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Home My WebLink About86170A_Masie, Leslie & Brett_20211028`°�'"� El CAMA ❑ DREDGE & FILL Q %� NI?861 70 A B c D Previous permit GENERAL PERMIT Date previous permit issued ❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC -"14 . \�DC7 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.Yov/CAMArules Applicant Name _ Address City Phone # ( ) Email State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City P Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity ,f 3 ' - (Y. l�C!� �' lUt°c. 6 �x �{ 3 �Ic ^ k :.w r (Scale: ) Shoreline Length Access Length Y Pier dock)Jength Fixed In forms) Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkhea�i)Riprap length /tl Avg distance offshore a Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes L� Moratorium: n4 yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by Permit Conditions I i L L1 I r -4—i____4 I ' — ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) ' Agent or Applicant PRINTED Name Permit Officer's PRIPRI TEDre -- Signature "Please read compliance statement on back of permit" Signature—T C Cu L, G Application Fee(s) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR -AMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: ,1 ' . ) V) It Phone Number: Email Address: I certify that I have authorized C' �' �' , '' ' Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all LAMA permits necessary for the following proposed development: at my property located at in County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff. the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property *or lnforma�fi 61L(4� I I S' iglmLte- , '04 5� '4Print or Type Name tv S Title Date This certification is valid through_- W N.C, OM8N)N OF COASTAL. MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FIRM &EL4TYffM.WJL_.FLjURKBLSiEg'1.NF[h lF��stS�d7>✓� f`/ PY (Top portion to be cpmplefed by owner a their agerd) Name of PmPedy Ovnlnr ..___._._.._.�_...____..._. Adders of Property. Ma�.g $Vldrexs of Owner. �- Owner's e-0: __. Owners Phorist Agents Name: Agem Phortea:f_. —_ Agent's Emao, qD. AMCENT RIPARIAN PROPERTY OWNER'S CERTIFICATION - (Rn Donlon to be comoMad by the Adi cam Profit- Owns': I herebyeer ify that I own properyadlacem to the above referenced property The individual applymgfor m" Pemat iqa described to me as shown on the attached dlawvg. the development they are prcpostg A deaQIDibn IX Mewing. with dlmanBormimust be prpv ded with this letter. f _ I DO NOT have oblecbons to this Proposal. _ I DO have oblecl— to trxs Ixoposal. N you have objections to what (s brig proposed, you must no1Ny the N.C. Uivisron or Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence ahoWd be mailed M 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM rapresantatives can also be contacted at 1252) 2"3901. No response is considered the same as no objection if you have been naNNed by CeO ied Mail. WAIVER SECTION understand that any proposed pier dock, moonrg pikngs, boat ramp. Meakwaiar, boathouse. W W gran roust be set back a —mum distance of 15'from my area of riparian access unless waived by ire finis does nor apply to burmeads or nprap revelments). (if you wish to waive the setback, you must swn the appropnale blank below) DO wash to waive Some/al: of Ine 15' setback Signature of Adjacent Riparan Property Owner -0R I do not wish to walve the 15 setback feglareffwM (initial the blankk) Signature of Adjacent Riparian Property Owner., Typr,im ntednameof ARPO: t 1�,a C11"'ft WAY UiY 1.L5U�� LJ� 1 }C Mating Address of ARPO: 1} 1A'i� �r lY •, "t ARPO's email: ARPO's Phon": Date: ___ 'waive' is valid for up to one year from ARPO's Signature' Revised July 2021 N. C. DIVISION OF COASTAL MANAGEMEN i RIPARIAN PROPERTY OWNER NOTIFICATIONrWAIVER FORM ADJACENTGEIPT RE UESTED or HAND DEL ER'y CERTIFIED hgAIL RETURN R_E -- (Top portion to be Completed by owner or their agent) Name of property Owner --- Address of Property mailing Address of c)wner Owner's email — Agents Name. _ Agents Email Owner's Phone#: Agent Phone#: ADJACENT o beoOFCERTIFICATION ;Bottom portion tcmplleedb Pro eOwer; property adjacent to the above referenced property. The individual applying for this 1 hereby certify that I own permit has described to pro as shown adjacent the attached drawing, the development they are proposing. > on description or drawing. with dimensions. must be provided with this letter I DO NOT have objections to this proposal. I DO have objections to this proposal_ of Coastal if you have objections to what is being proposed, you must notifiy the N.C. Division ice. Correspondence should be Management (DCM) in writing within 10 days of receipt of this not mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 254-3901, No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION i anderstand trial any proposed pier. dock. mooring pilings. boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me ,this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback. you must sign the appropriate blank below) -- DO wish to waive some/all of the 15' setback Signature of AdjacWf Riparian Property Owner W12 1 do not wish to waive the 15' setback requirement (initial the blan Signature of Adjacent Riparian Property Owner Typed/Printed Mailing Addres ARPO's email: Date: i 'waiver is valid for up to one year from ARPO`s Signature" • ,-4, Revised juiy 2021 1t aZ 1 0OCI -ITf�- Ok f 1�- 1 '.urrituck County GIS Data Viewer Currituck County GIS Phone: (252) 232-2034 E-mail: gis@currituckcountync.gov 113 i A Addresses Commurnbes AVIJ*b Barco Cv"v k Corosa CurriWck Globa woods Grandy Harbr4W Jarvmbula Mapre 's Moyocs .a P*,I Mrrhor Poplar Bra n P�weilk. Pohl snawnoro Wat-My ` County Boundary 4 State r cowlry a Streets r' Wnght Memonal Bndge Major Streets —Arler,al PIMWI A *rol._.Maior —CDAeCtor_MaJor Parcel Land Hooks Parcels Currituck County Aerial Photography (202( ■aae: Band_1 ■ri,e-, bmr d 7 OW": Band-3 This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information shown on this map.